Optim Dental -1 LLC
NPI #1053852202 in Terre Haute, Indiana
Provider Information
- NPI Number
- 1053852202
- Entity Type
- Organization
- Organization Name
- Optim Dental -1 LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 20, 2017
- Last Updated
- Mar 20, 2017
Practice Location
- Address
- 3353 S US HIGHWAY 41 UNIT 3369
- City
- Terre Haute
- State
- Indiana
- ZIP Code
- 47802-3727
- Phone
- (812) 777-8777
Authorized Official
- Name
- SRINIVAS DURSHANAPALLI, DDS
- Title
- PRESIDENT
- Phone
- (217) 303-5955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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